关键词: 护理质量；管理现状；培训需求；横断面调查

Abstract: Objective: To investigate the current status of nursing quality management and the needs of clinical nurses in 22 medical institutions in Dongcheng district, Beijing. Methods: This cross-sectional study surveyed 22 nursing managers and 3221 clinical nurses from 22 medical institutions in Dongcheng district using a self-designed questionnaire. Results: Half of medical institutions investigated had adopted the 3-level nursing quality management organization system. 90.9% had set up their own nursing quality committees or teams, but only 59.1% had multi-department participation. More than 90% had established evaluation criteria for basic nursing and nursing management quality with only 63.6% having the evaluation criteria referring to specialist nursing quality. 72.7% had developed incentive systems for active reporting of adverse events, yet only 63.6% would analyze early warning cases. 81.8% of the institutions linked the results of supervision to nurses' performance. As to nurses' needs, more training in specific nursing skills (60.3%) and emergency technique (62.1%) were anticipated. 43.0% of the nurses welcomed such training once a quarter, and 89.9% of them prefered online teaching. Conclusion: Nursing managers need to further improve the evaluation criteria of specialist nursing practice quality and adverse event management. In order to promote the continuous improvement of nursing quality, more heed should be paid to the needs of clinical nurses to develop targeted training plans and supervision methods.

Key words: nursing quality; management status; training needs; cross-sectional study